Membership form 501

OLLI@UGA Membership Form Annual Membership for OLLI@UGA is $50.00 per year per person New member __________ Renewing M...

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OLLI@UGA Membership Form Annual Membership for OLLI@UGA is $50.00 per year per person

New member __________

Renewing Member___________

Renewing Members Only: YES! My info has changed in the last 12 months ___________ Please send me a new Name Badge _____ Table Tent ______

Name ____________________________________________________________________________________________________ (Please use a separate form for each member – printable from the OLLI@UGA website: www.olli.uga.edu.)

Mailing Address __________________________________________________________________________________________ City/State/Zip _____________________________________________________________________________________ Phone (H) _________________________ (C) _________________________ Email ______________________________ If you do NOT want your name and contact information listed in the OLLI Membership Directory, please check here Please be aware that other OLLI members, Class Facilitators, and Committee Chairs may have difficulty reaching you if you opt out of the Membership Directory.

Please tell us about your hobbies, your career or business experience, and your volunteer experience. If you need additional space, please use the back of this form. _________________________________________________________ ____________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________________

How did you hear about OLLI@UGA? _______________________________________________________________________ I would like to support OLLI@UGA with the enclosed tax deductible monetary gift ___$15 ___$25 ___$50 $_____other Remember to enclose this completed form with your check Annual Membership for OLLI@UGA is $50.00 per year per person OLLI@UGA, 850 College Station Road, Athens, GA 30602-4811 Telephone: 706-542-7715 Email: [email protected] Web: www.olli.uga.edu

Make the most of your membership! Committees: At the heart of OLLI@UGA programs are its committees. Members plan all programs and are involved in the governance of the organization. Curriculum Finance Fund Development Hospitality Long Range Planning

Marketing/Public Relations Membership Publications Technology Travel/Study

Special Interest Groups: Special interest groups meet in non-classroom settings. Interest groups are self-governing. Beadiacs Bonsai Book Discussion Bridge (Intermediate) Chess

Digital Photography Garden Lovers Hand Quilting Happy Hikers Investment

LadyDogs Basketball (UGA) Lunch Bunch Mac (computer) Fanatics Memoir Writing Novice Bridge

OLLI Rocks Pinochle Posse SoloSENIORS Stitch & Chat Supper Club

Feel free to make a suggestion for a new special interest group that you would be willing to lead. _______________________________ _____________________________________________________________________________________________________________

OLLI@UGA is dedicated to meeting the intellectual, social and cultural needs of mature adults through lifelong learning.